INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 442.307, 442.308, 442.309, 442.313, 442.314, 442.318, 442.319, AND 442.320, 442.311-CONDIT. OF PARTICIPAT. FOR INTERMED. FAM.
ICR 198509-0938-003
OMB: 0938-0370
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0370 can be found here:
INFORMATION COLLECTION
REQUIREMENTS CONTAINED IN 442.307, 442.308, 442.309, 442.313,
442.314, 442.318, 442.319, AND 442.320, 442.311-CONDIT. OF
PARTICIPAT. FOR INTERMED. FAM.
HCFA AND THE HEALTH CARE INDUSTRY
BELIEVE THAT THE AVAILABILITY TO THE FACILITY OF THE TYPE OF
RECORDS AND GENERAL CONENT WHICH THIS REGULATI SPECIFIES IS
STANDARD MEDICAL PRACTICE AND IS NECESSARY TO ENSURE THE WELL
BEING, SAFETY AND PROFESSIONAL TREATMENT ACCOUNTABILITY OF
PATIENTS. THE INFORMATION IS USED BY THE FACILITIES.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.